Deciplinary Action
Deciplinary Action
Deciplinary Action
Employee Name:
Employee Title:
Manager Name:
Manager Title:
Todays Date:
Incident Date:
Incident Time:
Incident Location:
Written
Probation Suspension
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5. Goals to be Achieved:
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8. Employee statement:
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I acknowledge that I have read and understand the above information and consequences.
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Employee Signature
Date
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Supervisor Signature
Date